Co-Pays and Amendments to Health Insurance Sample Clauses

Co-Pays and Amendments to Health Insurance. 1. The co-pay for healthcare shall be: 2018 Employee Contribution 2019 Employee Contribution 2020 Employee Contribution 60–80 hrs pp 32–59 hrs pp 60-80 hrs pp 32-59 hrs pp Single 12% 12% 17% 17% 22% 22% Double 12% 50% 17% 50% 22% 50% Family 12% 50% 17% 50% 22% 50% Single 25% 25% Double 25% 50% Family 25% 50% These co pays shall be paid through payroll deduction. 2. The traditional employee co-pay shall continue to be calculated using the rate determined from combining Union and non-Union claim experience. i. The Employer may add a utilization review and/or a case management for its self-insured plans, but prior to doing so it will meet with the negotiating team and present the specifics of these changes. This meeting will occur at least thirty (30) days prior to the effective date of the changes. ii. The Employer may impose additional incentives/disincentives to its self-funded plan. The disincentives shall not include physician office services nor shall they apply to services not provided by the Medical Center. Prior to doing so, it shall follow the procedure in C ii, above. iii. The BC/BS plan shall maintain a $500.00 deductible for inpatient admissions. This deductible will be waived for emergency or McLaren admissions or admissions for treatment not offered by McLaren. The pre-existing condition clause shall be removed from Blue Cross/Blue Shield.
Sample 1
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Co-Pays and Amendments to Health Insurance. 1. The co-pay for healthcare shall be: 2012 Employee Contribution 2013 Employee Contribution 2014 Employee Contribution 60–80 hrs pp 32–59 hrs pp 60-80 hrs pp 32-59 hrs pp 60-80 hrs pp 32–59 hrs pp Single 5% 5% 8% 8% 9% 9% Double 5% 50% 8% 50% 9% 50% Family 5% 50% 8% 50% 9% 50% Single 10% 10% 12% 12% 13% 13% Double 10% 50% 12% 50% 13% 50% Family 10% 50% 12% 50% 13% 50% Single 20% 20% 23% 23% 25% 25% Double 20% 50% 23% 50% 25% 50% Family 20% 50% 23% 50% 25% 50% These co pays shall be paid through payroll deduction. 2. The traditional employee co-pay shall continue to be calculated using the rate determined from combining Union and non-Union claim experience. i. The Employer may add a utilization review and/or a case management for its self-insured plans, but prior to doing so it will meet with the negotiating team and present the specifics of these changes. This meeting will occur at least thirty (30) days prior to the effective date of the changes. ii. The Employer may impose additional incentives/disincentives to its self- funded plan. The disincentives shall not include physician office services nor shall they apply to services not provided by the Medical Center. Prior to doing so, it shall follow the procedure in C ii, above. iii. The BC/BS plan shall maintain a $500.00 deductible for inpatient admissions. This deductible will be waived for emergency or Xxxxxx admissions or admissions for treatment not offered by Xxxxxx. The pre-existing condition clause shall be removed from Blue Cross/Blue Shield.
Sample 1

Related to Co-Pays and Amendments to Health Insurance

  • Retiree Health Insurance Retired members of the Department receiving, or to receive City of Lincoln monthly pension checks, may participate in the group comprehensive health care plan for active City employees, provided that each retiree so desiring will execute the required forms in a timely fashion, and further provided that each retiree will be required to pay the full monthly cost at the current rates subject to any rate increases which may occur from time to time. Such payment will be made by payroll deduction from pension checks, or by direct payment in the case of an early retiree.

  • Group Health Insurance The Employer shall provide a comprehensive health care insurance program for all permanent full-time and part-time employees. Health Plan characteristics and benefits shall be as provided in the Employer’s Agreement with the Ohio Civil Service Employees Association (hereinafter OCSEA). Regardless of the plan, employees will pay fifteen percent (15%) of the premium and the Employer will pay eighty-five percent (85%) of the premium; however for any alternative plans offered pursuant to the Agreement with OCSEA, the employees’ premium share will be determined by the Director of DAS, but will not exceed fifteen percent (15%) of the premium. The Employer’s premium share shall be paid on behalf of eligible employees as provided in the Employer’s Agreement with OCSEA. Employees who include a spouse as a dependent for healthcare coverage shall pay a surcharge as provided in the Employer’s Agreement with OCSEA. Eligibility provisions for employees enrolling in State provided health care plans shall remain the same as those in effect in the Employer’s Agreement with OCSEA. The Employer reserves the right to perform dependent eligibility audits upon recommendation of the Joint Health Care Committee. Health care costs paid on behalf of ineligible dependents will be subject to recovery. Deductibles, co-payments, and other plan design provisions for all benefit programs shall be the same as those prescribed in the Employer’s Agreement with OCSEA. Every year the Employer shall conduct an open enrollment period, at which time employees shall be able to enroll in a health plan, continue enrollment in their current plan, switch to another plan, subject to plan availability in their area, or waive coverage. The timing of the open enrollment period shall be established by the Director of the Department of Administrative Services (DAS), in consultation with the Joint Health Care Committee. Changes outside of open enrollment may only occur as prescribed in the Employer’s Agreement with OCSEA. Open Enrollment Fairs shall be held in accordance with Employer’s Agreement with OCSEA. There shall be established a Joint Health Care Committee composed of representatives of management, and of the various labor Unions representing State employees. The Committee shall meet regularly to monitor the operation of the State’s health care plans, and to make recommendations for the improvement of the plans and cost containment procedures. The Employer shall provide funding for dental, vision and the life benefits as described in Article 21 of the Employer’s Agreement with OCSEA and the Union’s Benefits Trust. Employee health insurance payments will be deducted from every paycheck. In the event an employee is receiving disability leave or Workers’ Compensation benefits, the Employer- policyholder shall continue, at no cost to the employee, the coverage of group health insurance for such employee for the period of such leave, but not beyond twelve (12) months. If the employee’s leave extends beyond twelve

  • Health Insurance The Couple agrees that: (check one)

  • Health insurance premiums If you are unemployed and have received unemployment compensation for 12 consecutive weeks under a federal or state program, you may take payments from your IRA to pay for health insurance premiums without incurring the 10 percent early distribution penalty tax.

  • Health Insurance Portability and Accountability Act Grantee certifies that it is in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law Xx. 000-000, 00 XXX Parts 160, 162 and 164, and the Social Security Act, 42 USC 1320d-2 through 1320d-7, in that it may not use or disclose protected health information other than as permitted or required by law and agrees to use appropriate safeguards to prevent use or disclosure of the protected health information. Grantee shall maintain, for a minimum of six (6) years, all protected health information.

  • Health Insurance Portability and Accountability Act of 1996 This paragraph was intentionally left blank.

  • Amendment of Protected Health Information 8.1 To the extent Covered Entity determines that any Protected Health Information is maintained by Business Associate or its agents or Subcontractors in a Designated Record Set, Business Associate shall, within ten (10) business days after receipt of a written request from Covered Entity, make any amendments to such Protected Health Information that are requested by Covered Entity, in order for Covered Entity to meet the requirements of 45 C.F.R. § 164.526. 8.2 If any Individual requests an amendment to Protected Health Information directly from Business Associate or its agents or Subcontractors, Business Associate shall notify Covered Entity in writing within five (5) days of the receipt of the request. Whether an amendment shall be granted or denied shall be determined by Covered Entity.

  • Health Insurance Benefits To the extent provided by the federal COBRA law or, if applicable, state insurance laws, and by the Company’s current group health insurance policies, Executive will be eligible to continue Executive’s group health insurance benefits at Executive’s own expense. If Executive timely elects continued coverage under COBRA, the Company shall pay Executive’s COBRA premiums, and any applicable Company COBRA premiums, necessary to continue Executive’s then-current coverage for a period of 12 months after the date of Executive’s termination of employment; provided, however, that any such payments will cease if Executive voluntarily enrolls in a health insurance plan offered by another employer or entity during the period in which the Company is paying such premiums. Executive agrees to immediately notify the Company in writing of any such enrollment. Notwithstanding the foregoing, if the Company determines, in its sole discretion, that it cannot provide the foregoing benefit without potentially incurring financial costs or penalties under applicable law (including, without limitation, Section 2716 of the Public Health Service Act), the Company shall in lieu thereof provide to Executive a taxable monthly amount to continue his group health insurance coverage in effect on the date of separation from service (which amount shall be based on the premium for the first month of COBRA coverage), which payments shall be made regardless of whether Executive elects COBRA continuation coverage and shall commence in the month following the month in which Executive incurs a separation from service and shall end on the earlier of (x) the date on which Executive voluntarily enrolls in a health insurance plan offered by another employer or entity during the period in which the Company is paying such amounts and (y) 12 months after the date of Executive’s separation from service.

  • ACCESS TO PROTECTED HEALTH INFORMATION 7.1 To the extent Covered Entity determines that Protected Health Information is maintained by Business Associate or its agents or Subcontractors in a Designated Record Set, Business Associate shall, within two (2) business days after receipt of a request from Covered Entity, make the Protected Health Information specified by Covered Entity available to the Individual(s) identified by Covered Entity as being entitled to access and shall provide such Individuals(s) or other person(s) designated by Covered Entity with a copy the specified Protected Health Information, in order for Covered Entity to meet the requirements of 45 C.F.R. § 164.524. 7.2 If any Individual requests access to Protected Health Information directly from Business Associate or its agents or Subcontractors, Business Associate shall notify Covered Entity in writing within two (2) days of the receipt of the request. Whether access shall be provided or denied shall be determined by Covered Entity. 7.3 To the extent that Business Associate maintains Protected Health Information that is subject to access as set forth above in one or more Designated Record Sets electronically and if the Individual requests an electronic copy of such information, Business Associate shall provide the Individual with access to the Protected Health Information in the electronic form and format requested by the Individual, if it is readily producible in such form and format; or, if not, in a readable electronic form and format as agreed to by Covered Entity and the Individual.

  • Electronic Protected Health Information “Electronic Protected Health Information” means individually identifiable health information that is transmitted by or maintained in electronic media.

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